Roger Justin Wood, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT12012 Issued in CA

Practice address

3424 E 4TH St
Long Beach, CA 90814

Phone

(714) 425-4050

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1366595332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141557",
            "telephone_number": "714-425-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 E 4TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90814",
            "telephone_number": "714-425-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 E Broadway",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908035907",
            "country_code": "US",
            "telephone_number": "714-425-4050",
            "fax_number": "562-433-5298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ROGER",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT12012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lynden Wood, M.D.
• Heather L Wood, LCSW
• Kesha Wood
• Kristen Leann Wood, MS, RD
• Lorne Daniel Wood
• William John Woodbury, CADC II
• Venita Michelle Woodruff
• Breeanne Elyse Woods, LMFT
• John Patrick Woods, D.O
• Kayla Woods

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.